FORM 4
/ / Check this box if no longer UNITED STATES SECURITIES AND EXCHANGE COMMISSION OMB APPROVAL
subject to Section 16. Form 4 Washington, D.C. 20549 OMB Number: 3235-0287
or Form 5 obligations may Expires: January 31, 2005
continue. See Instruction 1(b). Estimated average burden
STATEMENT OF CHANGES IN BENEFICIAL OWNERSHIP hours per response ... 0.5
Filed pursuant to Section 16(a) of the Securities Exchange Act of 1934,
Section 17(a) of the Public Utility Holding Company Act of 1935 or
Section 30(h) of the Investment Company Act of 1940
(Print or type Responses)
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1. Name and Address of 2. Issuer Name and Ticker or Trading Symbol 6. Relationship of Reporting Person(s) to Issuer
Reporting Person* (Check all applicable)
Petersen Allen D. Gold Banc Corporation, Inc. (GLDB) _X_ Director __ 10% Owner
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(Last) (First) (Middle) 3. I.R.S. Identification 4. Statement for __ Officer __ Other
Number of Reporting Month/Day/Year (give title (specify below)
Person, if an entity below)
(voluntary)
11301 Nall Avenue January 22, 2003 ___________________
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(Street) 5. If Amendment, Date 7. Individual or Joint/Group Filing
of Original (Check Applicable Line)
(Month/Day/Year) _X_ Form filed by One Reporting Person
___ Form filed by More than One
Leawood Kansas 66211 Reporting Person
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(City) (State) (Zip) Table I - Non-Derivative Securities Acquired, Disposed of, or Beneficially Owned
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1. Title of Security 2. Trans- 2A. Deemed 3. Trans- 4. Securities 5. Amount of 6. Ownership 7. Nature
(Instr. 3) action Execution action Acquired (A) Securities Form: of Indirect
date: Date, if Code or Disposed Beneficially Direct Beneficial
any (Instr.8) of (D)(Instr. Owned Follow- (D) or Ownership
3, 4 and 5) ing Reported Indirect (Instr. 4)
------------------------------- Transaction(s) (I)
(Month/ (Month/ (A) (Instr. 4)
Day/ Day/ or (Instr. 3
Year) Year) Code V Amount (D) Price and 4)
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No Change.
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Reminder: Report on a separate line for each class of securities beneficially owned directly or indirectly.
* If the form is filed by more than one reporting person, see instruction 4(b)(v).
Persons who respond to the collection of information (Over)
contained in this form are not required SEC 1474 (9-02)
to respond unless the form displays a currently
valid OMB control number.
FORM 4 (continued) Table II - Derivative Securities Acquired, Disposed of, or Beneficially Owned
(e.g., puts, calls, warrants, options, convertible securities)
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1.Title 2.Conver- 3.Trans- 3A.Deemed 4.Trans- 5.Number 6.Date Exer- 7.Title and 8.Price 9.Number 10.Owner- 11.Nature
of Deriv- sion or action Execu- action of Deriv- ciseable Amount of of of ship of In-
ative Exercise Date tion Code ative and Expir- Underlying Deriv- Deriv- Form of direct
Securi- Price of Date, (Inst. Securi- ation Date Securities ative ative Deriv- Bene-
ty Deriv- (Month/ if any 8) ties (Month/ (Instr. 3 Secur- Securi- ative ficial
(Instr. ative Day/ Acquired Day/Year) and 4) ity ties Security: Owner-
3) Security Year) (Month/ (A) or (Instr. Benefi- Direct ship
Day/ Disposed 5) cially (D) or (Inst.
Year) of (D) Owned Indirect 4)
(Instr. Follow- (I)
3, 4, ----------------------------- ing (Instr.
and 5) Amt or Reported 4)
Date Expira- Title Number Trans-
------------------ Exer- tion of action(s)
Code V (A) (D) cisable Date Shares (Instr. 4)
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Stock Common
Options $10.41 1/22/03 A 5,000 1/22/04 1/22/13 Stock 5,000 27,500 D
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Explanation of Responses:
** Intentional misstatements or omissions of facts constitute Federal Criminal Violations.
See 18 U.S.C. 1001 and 15 U.S.C. 78ff(a).
/s/ Allen D. Peterson March 11, 2003
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**Signature of Reporting Person Date
Note: File three copies of this Form, one of which must be manually signed.
If space is insufficient, see Instruction 6 for procedure.
Potential persons who are to respond to the collection of information contained
in this form are not required to respond unless the form displays a currently
valid OMB Number.
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